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Master Thesis

Estimation de la part évitable du fardeau de problèmes de santé publique liée aux délais de mise en place d’interventions efficaces dans des pays à revenu faible et intermédiaire

Abstract : Introduction – The avoidable part of the burden of diseases and injuries related to delayed implementations of effective public health interventions is measurable. Public health interventions can be effective to decrease both public health problem morbidity and mortality as well as they can help to reduce exposure to a risk factor. The main objective was to estimate the avoidable disability adjusted life years (DALYs) of the burden of diseases and injuries related to delayed effective health intervention implementations in low-and middle- income countries. Methods – We chose two public health problems, two effective public health interventions and then six countries per public health problem. DALYs were produced to estimate the whole burden of the selected public health problems in each country during the intervention implementation deadlines. We calculated the avoidable DALYs for each country using population attributable fraction and percentages of reduction of both mortality and morbidity by public health interventions. Results – We chose road traffic injuries and hepatocellular carcinoma as public health problems. Primary road safety law (mandatory use of seat belts in cars) and hepatitis b vaccination were the effective interventions. Avoidable part of the burden of road traffic injuries related to delayed primary law implementation was between 1.2% and 10.4% in Uzbekistan; between 1.5% and 12.3% in Morocco and between 0.5% and 4.4% in Nigeria. Estimated avoidable parts were less than 2% in Sri Lanka and Cambodia. Bolivia was the only country that had not implemented the intervention, with an avoidable part between 0.5% and 3.4%. Avoidable part of the burden of hepatocellular carcinoma related to delayed hepatitis b vaccination program was at least 4.0% (Lao PDR) and maximum 6.5% (Somalia). Conclusion – Avoidable parts of burden of disease and injuries are interesting tools for Public Health practice, highlighting the fact that effective prevention should never be delayed.
Document type :
Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-01425660
Contributor : Bu Carreire Université de Bordeaux <>
Submitted on : Tuesday, January 3, 2017 - 5:12:14 PM
Last modification on : Wednesday, August 23, 2017 - 4:29:43 PM
Long-term archiving on: : Tuesday, April 4, 2017 - 2:49:24 PM

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Aurélie Martin. Estimation de la part évitable du fardeau de problèmes de santé publique liée aux délais de mise en place d’interventions efficaces dans des pays à revenu faible et intermédiaire. Médecine humaine et pathologie. 2016. ⟨dumas-01425660⟩

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